| NPI | 1659675122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI F SALEH Owner 703-491-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401412669) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |